IB 837 TRANSMISSION (1073)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 112
FIRST LINE NUMBER 1
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 3
LENGTH 55
SHORT DESCRIPTION Other Payer Address Line 1
CALCULATE ONLY OR OUTPUT OUTPUT
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO